Like "Hi Sheila! I have the combination of OA and Diabetes. I do have quite a bit of trouble with the fingers of my right hand. I use a different tester, (One Touch Ultra) but when I was first diagnosed I got a Freestyle from the pharmacy. I don't even know why One Touch sent me their set but the lancet was so much easier for me to use that I switched for that reason alone. It also really helps to get everything set up, cocked and ready to go. I also have to have the lancet device set at 4(of 5). Good luck! I hope this has helped. "